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Pyrethroid 중독에 대한 고찰 - 2005년도 농약 중독 실태조사를 기반으로
김아진,김경환,박준석,어은경,오범진,이미진,이성우,서주현,노형근,Kim, Ah-Jin,Kim, Kyung-Hwan,Park, Joon-Seok,Eo, Eun-Kyung,Oh, Bum-Jin,Lee, Mi-Jin,Lee, Sung-Woo,Suh, Joo-Hyun,Roh, Hyung-Keun 대한임상독성학회 2007 대한임상독성학회지 Vol.5 No.2
Purpose: Pyrethroid is an insecticide that produces moderate intoxication in mammals, with neither exposure to skin nor inhalation resulting in severe systemic manifestations. In 2005 we made a nationwide survey of agrichemical human intoxication. The object of this study is to analyze pyrethroid intoxications based on the 2005 survey. Methods: We prospectively collected data from 1 August 2005 to 31 July 2006 by a standard investigation protocol. We analyzed demographic data, exposure data (cause, amount, ingredients), clinical features, and courses. Results: A total of 125 cases of pyrethroid intoxication were surveyed. The mean patient age was $56.78{\pm}16.158$ years old, and the mean amount ingested was $121.85{\pm}110.732ml$. Patients were classified into four severity groups according to symptoms and mental status: the asymptomatic group (27 patients, 21.6%), the mild symptom group (48, 38.4%), the moderate symptom group (21, 16.8%), and the severe symptom group (7, 5.6%). There were statistically significant differences in mental status, severity, and mean ICU days between two groups. Admission days by severity grade for the asymptomatic, mild, moderate, and severe symptom groups were $5.49{\pm}16.051,\;3.65{\pm}4.143,\;4.59{\pm}3.335,\;and\;8.14{\pm}7.199days$, respectively (p=0.047). Conclusion: Nationwide surveillance was extremely telling in uncovering a high frequency of agrichemical intoxication in Korea. In pyrethroid intoxication, severity grading can be a useful prognostic tool.
김아진,김경환,박준석,신동운,Kim Ah Jin,Kim Kyung Hwan,Park Jun Seok,Shin Dong Wun 대한임상독성학회 2005 대한임상독성학회지 Vol.3 No.2
Sodium bromate or potassium bromate has been used as hair cold neutralizer. Sodium bromate intoxications occurred in children incidentally early days of marketing, but recently in adult suicidally. This chemical intoxication result in renal failure, ototoxicity, neurotoxicity, hemolytic anemia and so on. We experienced a 39-year-old woman of hairdresser with non-oliguric acute renal failure after ingestion hair neutralizer 500 ml. She received hemodialysis 3 times and discharged without complication on 8th admission days.
김아진 ( Ah Jin Kim ),강은주 ( Eun Ju Kang ) 한국치위생과학회 2014 치위생과학회지 Vol.14 No.1
본 연구의 목적은 근로자의 구강건조증상과 다양한 구강자각증상에 대하여 알아보고 근로자의 구강건강관련 삶의 질에 미치는 요인들에 대해 조사 분석하여 근로자의 구강건 강증진을 도모하는 프로그램개발을 위한 기초자료를 제공하고자 2012년 8월 1일부터 9월 20일까지 전라북도 소재의 5개의 산업장 근로자를 대상으로 분석한 결과 다음과 같은 결론을 얻었다. 1. 구강건조증상은 사무직 근로자가 2.59점으로 영업직 근로자 1.71점보다 유의하게 구강건조증상 정도가 높았다 (p<0.001). 2. OHIP-14는 비정규직이 2.05점, 정규직이 1.82점으로 나타났다(p<0.00 1). 3. 구강건조증상은 OHIP-14와 양의 상관관계를 보였다 (r=0.456). OHIP-14는 연령과는 양의 상관관계를 보였으며 (r=0.209), 최종학력과 음의 상관관계를 보였다(r=.0.136). 4. 구강건조증상이 심할수록(β=0.383, p<0.001), 연령이 높을수록(β=0.221, p<0.001), 치과질환을 갖고 있다고 느꼈을 때(β=0.146, p<0.01) OHIP-14에 유의하게 영향을 미치는 요인으로 나타났다. 결론적으로 위와 같이 근로자들의 구강건강관련 삶의 질에 영향을 미치는 요인을 참고하여 산업장 근로자의 구강건강증진을 도모하는 프로그램을 개발하고 국가보건정책 부분에서 산업구강보건 개선을 위해 적극 고려해야 할 것으로 생각된다. The purpose of this study was to examine the symptom of dry mouth of workers, their subjective oral symptoms and factors affecting their oral health-related quality of life (Oral Health Impact Profile, OHIP-14) in an effort to provide information on the development of oral health promotion programs geared toward workers. The subjects in this study were the workers in five different companies in North Jeolla Province. After a survey was conducted from August 1 to September 20, 2012, the collected data were analyzed. The findings of the study were as follows: The office workers got 2.59 in oral dryness, and the sales associates got 1.82. The oral dryness of the former was severer than that of the latter (p<0.001). The irregular workers got 2.05 in OHIP-14, and the regular workers got 1.82 (p<0.001). Symptom of dry mouth had a positive correlation to OHIP-14 (r=0.456). OHIP-14 was positively correlated with age (r=0.209) and negatively with academic credential (r=.0.136). OHIP-14 was more significantly affected when their symptom of dry mouth was severer (β=0.383, p<0.001), when they were older (β=0.221, p<0.001) and when they felt they had oral diseases (β=0.146, p<0.01). In conclusion, quality programs should be developed to promote the oral health of industrial workers in consideration of the influential factors for the oral health-related quality of life of the workers, and the government should pay more attention to related policy setting to improve the oral health of industrial workers.
연구논문 : 지역 수상관광개발의 관광거버넌스 형성과정 정책네트워크 분석 - 낙동강 생태탐방선 도입 및 뱃길복원 관광자원화 사업 사례를 중심으로-
김아진 ( Ah Jin Kim ),김이태 ( Yi Tae Kim ),박태준 ( Tae Jun Park ) 대한관광경영학회 2015 觀光硏究 Vol.30 No.5
본 연구는 2012년부터 지방정부 주도로 시작된 낙동강 하천유람선 도입 구상에서부터 2015년 낙동강 생태탐방선 도입과 낙동강 뱃길복원 관광자원화 사업에 이르기까지의 수상관광 정책결정과정을 사례로 선정하여 정책네트워크 모형을 적용하여 분석하였다, 정책결정과 정을 정책도입기, 정책추진기, 정책집행기로 나누어 각 시기의 정책네트워크 구조와 정책네트워크에 영향을 미친 주요 정책환경과 이를 통해 산출된 정책변동을 살펴보았다. 정책도입기에 반대입장을 표명했던 어촌계가 정책집행기에 찬성입장으로 바뀌어 사회적기업인 ‘낙동강 관광두레’를 조직하고 지방정부와 협력하여 관광거버넌스를 구축한 사례분석을 통해 도출한 시사점은 다음과 같다. 각 정책결정단계에서 정책행위자의 출현과 네트워크 구조 변화에 영향을 미친 주요한 정책환경이 있었다. 특히, 어촌계의 태도변화에 영향을 미친 요인으로는 사회·경제적인 정책환경과 ‘낙동강 뱃길복원 시민협의회’를 통한 민주적인 협의과정을 들 수 있다. 시민협의회의 구성에 있어서 정책연구기관인 BDI가 주축이 되어 어느 정도 갈등을 감소시키는 중간자 역할을 하였으며, 이로 인해 어촌계의 협력을 좀 더 용이하게 이끌어낼 수 있었다. 또한, 상향식 관광개발의 형태로 나아가려는 정부정책의 경향을 확인할 수 있었으며, 지금까지의 내륙관광개발의 사례에서 벗어나 수상관광개발에서의 거버넌스 구축과정을 살펴보았다는 점에서 향후 정책결정과정에 많은 시사점을 제공할 수 있을 것이다. This study applied and analyzed policy network models by selecting policy making procedures of water based tourism as cases from the plan of introducing a cruise on Nakdong River which has been started by the lead of a local government since 2012 to the introduction of an eco-tour ship on Nakdong River and also the business of tourism resources by restoring a waterway on the river in 2015. The procedures were divided into the introductory period, acceleration period, and execution period of policy. Then, policy network structure of each period, main policy environment which influenced policy networks, and policy changes produced by them were looked into. Extracted implications are like the next. There was an important policy environment which affected emergence of policy actors and changes of network structure in each policy making stage. In particular, as factors that had effect on attitude changes in fishing village societies, a socio-economic policy environment and a democratic cooperation course through a ‘citizen conference for the waterway restoration on Nakdong River’. In the construction of the citizen conference, BDI as a policy research institute formed a pivot role and played an intermediate role in decreasing conflict somewhat. Owing to this, cooperation of the fishing village societies could be elicited more easily. Also, a tendency of governmental policies which were intended to go into the form of bottom-up tourism development could be confirmed. Out of the case of inland tourism development until now, in that governance construction processes in water tourism development were examined, a lot of implications will be provided in future policy making procedures.